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Pickford for MDJ - 2017 2nd Friday Pre-Election
• liii Reset Form Print Form Commonwealth of Pennsylvania-Campaign Finance Report (Note:This report must be clear and legible.It should be typed) Filer Identification Report Filed By Candidate Committee X. Lobbyist Number (Mark X) Lob of Filing Committee,Candidate or /C Kf04) �� rip T Lobby �/ ist Street Address /R.00 /eK T_ Sr- ,A6 /--5-6 / — City State ^ - / X.E./// O YNR ,t4Zip Code l7a r 3 1 Type of Report(Place x under report type) 1-6th Tuesday 2- 2nd Friday 3-30 Day Post 4-6th Tuesday 5-2nd Friday 6-30 Day Post 7-Annual Special 2hd Friday Special 30 Day Pre-Primary Pre-Primary Primary Pre-Election Pre-Election Election Pre-Election Post-Election X Date Of Election Year ...., Amendment Termination (MM/DD/YYYY) //7 7 / Report Report Summary of Receipts and From Date To Date For Office Use Only Expenditures ARepPiz /0/S-3/13/7 A.Amount Brought Forward From Las ort $ B.Total Monetary Contributions and Receipts $ C7 ti ro (From Schedule I) 15--0 '— --..J c� v C.Total Funds Available $ ( Go C (Sum of Lines A and B) 7� /_ e 70 O.Total Expenditures $ r-- W / (From Schedule Ill) (.4'/ q t9/ C7 E.Ending Cash Balance $ CD -0 (Subtract Line D from Line C) ii 3X2. f 7 n = F.Value of In-Kind Contributions Received $ C..! • (From Schedule II) -- ? N G.Unpaid Debts and Obligations $ i --< O (From Schedule IV) 7, dew Affidavit Section Part 1-If this is a Committee report,treasurer sign here.If this is a Candidate report,candidate sign here. I swear(or affirm)that this report,including the attached schedules on paper,is to the best of my knowledge and belief true,correct and complete. Sworn to and subscribed before me this -9-74... . ..38 day of603-464120 /7 /�'—Y "::.:..�l1J.�- t s Signature of Person S brnittiing report ��. i i ! _ ��.;-Tr rna it ri j ,Ji+ ii y o(.. ®X Sig .ture MEGAN E 0 ;" Printed Name C($I F b My Commission expir BF8I;AND COUNTY 7(7 717-77 V—/87�. CL e0A0.omms Gin Expirll Jan 14,019 Area Code Daytime Telephone Number Part II-If this is a report of a Candidate's Authorized Committee,candidate shall sign here. I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937(P.L.1333,N0.320)as amended. - Sworn,tp_and subscribed before me this ........... ...% i Opt." day of 0 0 ° 20 )1 `r `�..L,n_ (444-7 0 0 I' rip Signatuc-........„-- -, di /e L Signatu TM DF.PEN ,,•, a Printed Name NOTARI L.SEAL 9 9 3g My Commission a pines RIS M0. < 1(ary Pane Area Code Daytime Telephone Number - CARLISLE BORO,CUMBERLAND COUNTY My Commission Expires Jan 14,201'9 6) SCHEDULE I Contributions and Receipts Detailed Summary Page I Filer Identification Number P/ce__CoXD ,fil.e-- 141 DT- 1.Unitemized Contributions and Receipts$50:00 or Less per Contributor , Total for the reporting period (1) $ 2,Contributions of$50.01 to $250.00(from '� Part A and Part Bj Contributions Received from Political Committees(Part A) $ ,_s • All Other Contributions(Part B) $ / o Total for the reporting period (2) $ `D 3;Contributions Over$250.00(From Part C and Part D) Contributions Received from Political Committees(Part C) $ All Other Contributions(Part D) $ Total for the reporting period (3) $ 1,666 —1, 000 4 Other Receipts Refunds,interest Earned;Returned Checks,ETC.(From Part E) I Total for the reporting period (4) $ Total Monetary Contributions and Receipts during this reporting period(Add and $ O enter amount totals from Boxes 1,2,3 and 4;also enter this amount on Page 1,Report Cover Page,Item B) r PART B All Other Contributions $50.01 TO$250 Use this Part to itemize all other contributions with an aggregate value from $50.01 TO$250 in the reporting period. (Exclude contributions from political committees reported in Part A.) Filer Identification Number:- IP/Cr/Cate-6 Foi /x DT-. Full Name of Contributor Date[MM/DD/YYYY] $ $4-, -6/1-j9- rn -74J /a�f�//7 /OO .� House# Street Address Date[MM/DO/YYYY] $ aL, G Nr/4,61, 4� City �P ���� State �� Zip Code I ,70/� Date[MM/DD/YYYY] $ Full Name of Contributor ! Date[MM/DD/YYYY] $ ,., House# ' Street Address Date[MMS/DD/YYYY] $ City . ' State '"'Zip Code Date{MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYY) $ Mt/e S/rmsFz O'7A., /a6/J (-5-6'House# Street ADate M/DD/YYYYJ $ 30ddress C.ff `moi City �'� State: ZiPfrpCe ari• od - / 7D, / M/ Date ,$•' Full Name of Contributor. Date[MM/DD/YYYY) $ House# Street Address Date[MM/DD/YYYY] $ City State. Zip Code Date iMM/.DD/YYYY] . S Full Name of Contributor Date[MM/DD/YYYY] $ House# Street Address Date[MM/DO/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYY] $ City State Zip Code Date[MM/DD/YYYY] $ PART D All Other Contributions Over$250.00 Use this Part to itemize all other contributions with an aggregate value over$250.00 in the reporting period. (Exclude contributions from political committees reported in Part C) Filer Identification Number: i4cKfd1 t? (i1 T Full Name of Contributor �—"/` Date[MM/DD/YYYYj $ Cy (fie//o/De t'7 000 House# , Street Address Date[MM/DD/YYYYJ $ 7°V &alio© b Tb City ^ Vegn O/ n State 2ip Code 1'707^� Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor l Date[MM/DQ/YYYY) $ S /'c rd a/ 006 House# Street Address Date[M /D /YYYY] $ c26/02 e/t 77tJ14-- �S'T City State Zip Code Date[MM/DD/YYYYJ $ ¢,�J�/J ;Of/« /7 f// Employer Name -Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYYJ $ House# Street Address Date[MM/DD/YYYYJ $ City State • . Zip Code Date[MM/DD/YYYY] $ Employer Name -- - Occupation Employer Mailing Address/ Principal Place of Business Full Name of Contributor Date[MM/DD/YYYY) $ House# Street Address. Date[MM/DD/YYYYJ $ City State Zip Code Date[MM/DD/YYYY] $ Employer Name Occupation Employer Mailing Address/ Principal Place of Business SCHEDULE III Statement of Expenditures Filer Identification Number: /c,:ficb fie 1177)Q- To i'77 To Whom Paid Date Ms ] $/ 710G /a ap , 036,391 S ` x _ Descia oEnditureHouse# p Street Address Q `e/ S City State Zip / �//0/CS',t/,�( r� Code /7o /4a//// To Whom Paid Date[ M/ /YYYY] $ / Mc /©/ 9 9017 /i,.©(9 House# 3 D8treet Address S /0- Descriptio of Expenditure _ T City State _ Zip ,&4t6YNE / - Code /70 y� /ti_-.6o DS To Whom Paid Date[MM/DD/YYYY] $ './ /ie657E T Ck i /0 /'7 t99: